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Atrioventricular septal defect and the left atrioventricular valve at reoperation

  • Pietro A. Abbruzzese (a1), Giancarlo Crupi (a1), Roberto Tumbarello (a1), Alessandra Napoleone (a1), Maurizio Merlo (a1) and Lucio Parenzan (a1)...

Summary

Between 1968 and December 1990, 29 patients underwent 33 reoperations for dysfunction of the left atrioventricular valve after correction ofatrioventricular septal defect. Repair of the valve was possible in all 10 patients who, initially, had a common atrioventricular orifice, using straightforward procedures such as closure of the septal commissure and annuloplasties according to Wooler. Additional valvar abnormalities (double orifice; fenestration of leaflets; malpositioned or malformed papillary muscles; and additional clefts) were rare in this group of patients. In contrast, these anomalies were frequent in the 19 patients who, initially, had separate right and left atrioventricular valves.

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Corresponding author

Dr. Pietro A. Abbruzzese, Divisione de Cardiochirurgia, Ospedale San Michele, Via Peretti, 09100 Cagliari, Italy

References

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Abbruzzese, PA, Napoleone, A, Bini, RM, Annecchino, FP, Merlo, M, Parenzan, L.Late left atrioventricular valve insufficiency after repair of partial atrioventricular septal defects: Anatomical and surgical determinants. Ann Thorac Surg 1990; 49: 111114.
Abbruzzese, PA, Livermore, J, Sunderland, CO, Nunley, DL, lssenberg, H, Khonsari, G, Garcia, CE, Starr, A.Mitral repair in complete atrioventricular canal. Ease of correction in early infancy. J Thorac Cardiovasc Surg 1983; 85: 388395.
Kadoba, K, Jonas, RA, Mayer, JE, Castañeda, AR.Mitral valve replacement in the first year of life. J Thorac Cardiovasc Surg 1990; 100: 762768.
Bharati, S, Lev, M, McAllister, HA, Kirklin, JW.Surgical anatomy of the atrioventricular valve in the intermediate type of common atrioventricular orifice. J Thorac Cardiovasc Surg 1980; 79: 884889.
Ebels, T, Anderson, RH, Devine, WA, Debich, DE, Penkoske, PA, Zuberbuhler, JR.Anomalies of the left atrioventricular valve and related ventricular septal morphology in atrioventricular septal defects. J Thorac Cardiovasc Surg 1990; 99: 299307.
Ilbawi, MN, Idriss, FS, Deleon, SY, Riggs, TW, Muster, AJ, Berry, TE, Paul, MH.Unusual mitral valve abnormalities complicating surgical repair of endocardial cushion defects. J Thorac Cardiovasc Surg 1983; 85: 697704.
McGrath, LB, Kirklin, JW, Soto, B, Bargeron, LM.Secondary left atrioventricular valve replacement in atrio-ventricular septal (A-V canal) defect: A method to avoid left ventricular outflow obstruction. J Thorac Cardiovasc Surg 1985; 89: 632635.

Atrioventricular septal defect and the left atrioventricular valve at reoperation

  • Pietro A. Abbruzzese (a1), Giancarlo Crupi (a1), Roberto Tumbarello (a1), Alessandra Napoleone (a1), Maurizio Merlo (a1) and Lucio Parenzan (a1)...

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